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Film critic Manohla Dargis has written about the lack of "real women" in summer blockbusters, claiming Judd Apatow comedies feature men who act more like leading ladies: "These aren't the she-males you find in the back pages of The Village Voice, mind you.

The Apatow men hit the screen anatomically intact: they’re emasculated but not castrated, as the repeated images of the flopping genitals in Forgetting Sarah Marshall remind you." The word came under extreme criticism when it was used during episode four of Ru Paul's Drag Race Season 6.

The hyphenation signals a crisis of language and an apparent social contradiction, since sex and gender are 'supposed' to match." Sex researchers Mildred Brown and Chloe Rounsley said, "She-males are men, often involved in prostitution, pornography, or the adult entertainment business, who have undergone breast augmentation but have maintained their genitalia." According to Professors Laura Castañeda and Shannon Campbell at the University of Southern California's Annenberg School of Journalism, "Using the term she-male for a transsexual woman would be considered highly offensive, for it implies that she is working 'in the [sex] trade.' It may be considered libelous." According to sex columnist Regina Lynn, "Porn marketers use 'she-male' for a very specific purpose — to sell porn to straight guys without triggering their homophobia — that has nothing to do with actual transgendered people (or helping men overcome their homophobia, either)." According to sex columnist Sasha, "The term shemale is used in this setting to denote a fetishized sexual persona and is not typically used by transgendered women outside of sex work.

Many transgendered women are offended by this categorization and call themselves T-girls or trans." In addition to its use in pornography, the term has been used as a punch line or for rhetorical effect.

Many transgender people regard the term shemale as offensive, arguing that it mocks or shows a lack of respect towards transgender individuals; A gynandromorph is an organism that contains both male and female characteristics.

Gynandromorphy is a term of Greek etymology which means to have some of the body morphology and measurements of both an average woman and man.